Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10060-10477
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 11.

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 5

: Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could

| reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

N

ennedy Assassination
ecords Collection Act of

992 [44 USC 2107 Note.
aset-Nw 68326 Date:

| NW 88326
| Docld:327239485 Page 1


Date:08/20/93
Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA .
RECORD NUMBER : 180-10060-10477

RECORDS SERIES :
STAFF PAYROLL RECORDS

ORIGINATOR :
FROM :
TO 3:

TITLE :

DATE
PAGES

08/03/77
10

SUBJECTS :
HSCA, ADMINISTRATION
MATHEWS, I. CHARLES

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 06/04/93

OPENING CRITERIA 3;

; COMMENTS :
Box .2.

([R] - ITEM IS RESTRICTED

| ‘NW 88326
) Deecid:32239405 Page 2

“NW 1 88326.

FHA FORM NO. 2004-G Rev: 5/75 VETERANS ADMINISTRATION FORM APPROVED}.
A FORM NO. 26-8497 Rev. s/78 ‘. OMB NO. 63-R1288). - S

nd
U.S, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
‘FEDERAL HOUSING ADMINISTRATION ee

REQUEST FOR VERIFICATION OF EMPLOYMENT a

ae nce ee ee

i.
|
. 7 hire R Wr TIO NS: Ab ender — Complete Items 1 through 6. Have applicant complete ltems 7 ‘and 8. Forw ‘ard the completed
form directly to the employer named in Item 1. ~
Em plo er ~~ Com; plete Items 9A through 15 and return form directly to lender named i in Item 2.

| | PARTI REQUEST
Rh. TO: (Name and Address of Employer):

2. FROM: (Name and Address of. Lender): ~
Society for Savings et

31 Pratt St. oy

- Hartford, Connecticut _

Select Committee on Assassinations
| U. S. House of Representatives
Washington, D. C. 20515

06101

3. Signature .
fof Lender:

4. Title of

. 3. Date: .
Lender: eee

16. HUD-FHA.or VA Number

 Tgertity th ne employer and bas bee paent, I have applied for a mortgage. loan and stated that I am employed by you. My
throu. the hands of the applicant or any signature below authorizes verification of this information.
otaer interested party; .

. Name and Address of Applicant: |

8. Employee" ‘s Identification ‘Number: ;

a

a)

Isiah C. Mathews -

Signature of applicant

. ‘PART II VERIFICATION
9A. Is applicant now employed by you? HOA. Position-or Job Title:

Dyes GINo Term.12/31/78]
9B. Present Base Pay is $ 30 000 00

_ This amount is paid:

: annually Coury
CimMonthly. Clother (Specify)
LlWeekty .

11. TO BE COMPLETED BY MILITARY
PERSONNEL ONLY.

Special Counsel ; -
. : _ Pay Grade:

10B. Length of Applicant's employment:

8/3/77 to 12/31/78

SC. EARNINGS LAST 12 MONTHS © 10C. Probability of continued employment:

oe er ere +0 we

Araount 8 29,333.33, Committee terminated

Normal Hours worked
per Week: ; / 4 0

{ 20D. Date Applicant left:

Overtime Earnings 3

<7 Cr- -, Har
Liten.oorary

10E. Reason for leaving:

Committee terminated

Other Income 6
GRegular. |

orc bat
; Citemporary omiba

12. REMARKS:

13. Signature of Employer: 14. Title of Employer: | 15. Date:

Deputy Staff Director ee po
and Budget Officer 9. 1/17/79

749-159-000 - _ . RETURN DIRECTLY TO LENDER .

Docld:32239485 Page 3

Select Committee on Assassinations

GD. House of Representatives
WASHINGTON, D.C. 20515

Tsiah C baeles (Ye aS

O/2- 39-336/

| Docld:32239485 Page 4


PAYROLL AUTHORIZATION FORM , _ ;
(Please Use Typewriter © U.S. HOUSE OF REPRESENTATIVES) (Any erasures, corrections, or changes

or Ballpoint Pen) authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) Effective Date

L, Charies Mathews | «42/32/78

Employee Social Security Number _ Type of Action

” 2 O Appointment
013-364-3361 .
O) Salary Adjustment

Employing Office or Committee/Subcommittee O Title Change
' ; Termination (At close of business on effective date)
: Assassiuationa 0 Leave without pay (Beginning with effective date above and ending

close of business
Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title | Gross Annual Salary*

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1.0 Standing Committee: Staff—O) Clerical or 0 Professional.

2. & Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res? _of planation =R congress.
3. [J Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number Step__

If applicable, Level

relatives.
Jansary Zz 79
Date. vee , 19 ae
(Signoture of Authorizing Official)
LOUIS STOKES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) ee Type or print nome of Authorizing Official, ~=—SOSC*=~CS
_o ___.___ Ghairran | ee

All appointments and salary adjustments for employees under the House Classification Act and for Committee em- -
- ployees, except those.of the Committee. on Appropriations, tre Committee on the Budget, and the Joint Committees, must
7 be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

| Office of Finance use only:

| Office Code

(Revised: August 1, 1977)

Jou doe. eee ee ae Copy: for Initiating: Office-or Committee -

| Docld:32239485 Page 5

Washington, D.C. 20515 on. this form must be initialed by the -

13 terete St et le dt lee |

* If employee is a civil service annuitant (includes U.S. House of Representatives}, the gross annual salary shown should include the annuity received by the employee ,

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of —-

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we ee at late NM Negi! Shed nab Halen eat need ea hee hehe

pee AoA

PAYROLL AUTHORIZATION FORM oO
(Please Use Typewriter ~ - UU: S. HOUSE OF REPRESENTATIVES © - - (Any erasures, corrections, or changes ~~

; : , ot -on this form must be initialed by the -
or Ballpoint Pen) Washington, D.C. 20515: authorizing official.) ;

To the Clerk of the House of. Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) . Effective Date ’

Warch 1,
: Type of Action —

OO Appointment

Charles Mathews

Employee Social Security: Number

O*Salary Adjustment
Employing Office or Committee/Subcommittee ~ -O Title Change

. 0 Termination (At close of business on effective date) |
- Asegarsi? $nSe Ss Sens 1) Leave without pay (Beginning with effective date above and ending
; close of business

Specify Date _

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate. information below.)

Position Title Gross Annual Salary*.

Special Counsel

830,800 _

* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1.0 — Stendins Committee: Staff—O] Clerical or 1 Professional. -

3. OF Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number___._ If applicable, Level_ Step.

| :certify. that this authorization is~ not. in.-violation of 3 USC, 3110(b),_ Prohibiting | the employment of
relatives. . :

“Tyoe or print name of Authorizing Official)

ween, a “Chad Leman

Title=If Member, Districtand Sot) ==SSsSt=SC*=CS~S ~

All appointments and salary adjustments for employees: under the House Classification Act and for Committee em:

_ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committeés, must >
be approved by the Committee on House Administration.

APPROVED: a

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

4
2
4

a’

Revised: ugust t 1977)

‘Copy for Initiating Office or Committee =. Se RIMES Not

NW 88326 : ot pee
1d:32239485 Page 6 / . ; ;

ae
LAY tna ae |

ta ee tee

PAYROLL AUTHORIZATION FORM |

(Please Use Typewriter "US HOUSE OF REPRESENTATIVES © - (Any erasures; corrections, or-changes

- } ae Loe ; F : on this form must be initialed by the.
or Ballpoint Pen) ~ Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

Date__.___ Gcteber 14 NEF as

Aue

| NW

Assassinations {_] Termination (At close of business on effective date}
Special Counsel

| hereby authorize the following payroll.action: -

Employee Name (First-Middle-Last) ~ Effective Date

I, Charles Mathews ;
, Employee Social Security Number -

01 3-34-3361

4 2

— PONT
oe Type o

f Action

[_] Appointment

Employing Office or Committee wi Sclary Adjustment

(If type of action is an Appointment or Salary:Adjustment, complete the following information;)
Position Title 7 Gross Annual Salary

(If Committee Employee, complete appropriate item below.)

1. (J Standing Committee: Staff-[[] Clerical or [_} Professional.
2. 3] Special or Select Committee: Authority—H. Res. 465 _of _38tACongress:.

3. [_] Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level__

| certify that this authorization is not in. violation. of -5.
relatives.

(Type or print name of Authorizing Official)

vy Chairman

foo motte isle =1f0 stv -vuelerteiee-Srerietanere eink Unneteieiane meee ee —

£ ; (Title~!f Member, District and State)
All appointments and salary adjustments for-employees under the: House:Classification Act. and: for-Committee em-
ployees,.except those of. the Committee on Appropriations, the Committee .on the Budget,and the Joint: Committees,-must
be approved by the Committee on House: Administration: : ve ae : 7

APPROVED:

Office of Finance use only:

Office Code

Monthly Annuity $ oot

88326 | ee

| Docid:32239485 Page 7

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:

- PAYROLL AUTHORIZATION FORM.
(Please Use Typewriter in _ U. S. HOUSE OF REPRESENTATIVES - > (Any erasures, corrections, or changes.

.. Lor:Ballpoint Pen). . =... oe so... «Washington, D. C. 20515 . ~ eater ye initialed bythe 2

To the Clerk of the House of Representatives: ~ rs

_ thereby authorize the following payroll action:

Employee Name (First-Middle-Last) pa, - Effective Date
EZ. Cnarvries Mathews B/3/? - .
Employee Social Securit Number “ a . _Type of Action -
013 BA. 364 . #C Appointment ;
Employing Office or Committee __| GSelary Adjustment ~ -
Assagsiy 1h ions = . . CJ Termination (At close of business on effective date] ‘
(If type of action is an. Appointment or Salary Adjustment, complete the following information.)
. ve '
Position Title Gross Annual Salary
" . . “ f i, . . ° . : :
(If Committee Employee, complete appropriate:item-below.)) = . a 1 _
1. [_] Standing Committee: Staff—[_] Clerical orf] Professional. . — ;
- 2. &] Special o or Select Committee: Authority—H. Res. 222 of? 38. Congress.
3. ] Joint Committee:
(If Employee of an Officer. of the House , complete item below,)
Position Number. If ‘applicable, level ‘ ‘Step__—___. -
| certify that this authorization is: not in violation of S US:C. 3110(b), prohibiting the employment of.
relatives. oo ; ee ; ~
Date. = BUGRst 3 __, 1972) a
ae ; ~ 7 7 Gignature of Authorizing Official) "TTT
im Fouls SEOKRAS
r (Type or print name of Authorizing Official) =—SSSs~=~CS la
nf - Craix San
eee Title= If Member, Districtand State) SSCS
WX ee a ~
ten, - All-appointments and‘salary adjustments for. employees under: the House. Classification Act and for Committee ‘em-

. -ployees, except-those of the Committee: on Appropriations, the Committee on. the:Budget, and the Joint Committees, must
_~ be approved by the Committee on House Administration. — ° :

5

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

s . : ‘ _ ie Se nee ne ene cnn ene eee ene ee een et etn ene eee nttgee Hees nee
-snnaenannnenametenins atten meen onenstrenrimainantnten atin noe ences ee on ese nies an eet nt neon te .

aa

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Pi So

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wea le

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; oo ee wee — ve - — _—

| NW 88326 | Fe ——
| Docid:32239485 Page 8 : vo ;

49. School St.

Mortgage Guaranty insurance Corporation

a subsidiary of MGIC. Investment Corporation

Telephone 414/347-6500

Request for Verification of Employment

. LENDER — Complete Items.1 thru 7. Have. applicant complete Item 8. Forward directly to employer named in item 1.
' EMPLOYER — Please complete Items 9 thru 16 and return directly to lender named in Item 2.

PART I— REQUEST

1. To (Name and address of employer) 2. From (Name and address of lender)

Select House Committee On Assassinations
3369 House Annex. #2
| *ashington, D.C. 20515

ist American Bank for Savings ;
'572 Columbia Read 7
Dorchester, Mass. . 02125

“3 Signature ¢ 4. Title 6. Lender’s LD. Number

oo _. (Optional)
, Mortgage Officer :
~
PRs e-applie@ior a mortgage loan and stated that | am now or was formerly employed by you. My signature below authorizes verification of this information

7. Name a and Address of Applicant ot.
Isiah C. Mathews 4827 S, 8th Rd. Arlington, Va.

‘PART 11—VERIFICATION an

i — EMPLOYMENT DATA
Posse “9A. IS Applicant Now Employed By You?
% YES [J] NO Uf “No,” complete Items 9c and 19d.)

PAY DATA

‘12C. To Be Completed for Military
Personnel Only

12A. Base Pay (Enter amount and Oo

check period) # Bo 066 —
DT ANNUAL OO HOURLY —
: oO MONTHLY... 0. (OTHER.

7 33. How tong Has Applicant Been Employed By, Yo a
OF Military, enter total: service) . oe

ol ‘Date A plicant Left
on « CELE pa

oD. Reason For Leaving

» | Pay G rade

“Monthly Amount = >

. "Base Pay”

Base Pay Rations |

! _ — Flight or. :
° Hazard $
ee | Overtime —_ _
a esent Position — Clothing . $
eke Ze ‘| Commissions a Quarters sg
oho Pr aba ity ot Continued Employment ~ : 7 ; -
Pro Pay , $
Bonus Ty
a _ ‘Overseas. ee :
_ ; Or Combat 1s
23. Remarks o
~~ The above inform tion is provided in strict confidence in response to your request.
S$ ienature ot E; poveyer 15. Title — ”

16. Date

yo 3/- af

brucget Offic

ts

PO a Het

oo iniermation on this form is Confidential. It is to be transmitted directly to the le
her party. .

| nweesse.
| Docld:32239485 Page 9

Ker, without assing through the hands of the applicant or any


1

|
|
i

1

| NW 88326
iy

rochd:32239405 Page 10

To:

From:
Date:

Re:

MEMORANDUM

Thomas Howarth, Budget Officer

G. Robert Blakey, Chief Counsel and Staff Director : co yet?
(o el
October 14, 1977

Salary Adjustments

This is your authorization to increase the salaries of the

below listed employees to the amounts indicated effective October 1, 1977:

Michael C. Eberhardt $34,000
Marjorie A. Eagle 14,500
I. Charles Mathews ; 26 ,000

pie os

oO

MEMORANDUM

TO: ALL STAFF

RE: “Payroll Certification

. The R Regulations and Accounting Procedures for Allowances and and
Expenses of Committees, Members and Employees of the U.S. House or

Representatives require that, among other things, the Committee's
montnily payroll certification include the relationship, if any, of
eacn employee to any current Member of Congress. This certification
is signed monthly by our Chairman. .

~ The Following are the relationships: to. be included in ‘the

certification:
father _ nephew Ce brother-in-law
mother — ae 7 ~ niece : : ' sister-in-law
son . : husband stepfather
daughter wife _ stepmother
brother father-in-Taw stepbrother
sister “mother-in-law | _ Stepsister
uncle . . . son-in-law ~ half-brother ©
- aunt . oe . daughter-in-iaw mo half-sister

first cousin

Please complete the appropriate portion below, Sign and date
this form, which will then become a part of your permanent personnel

file. If this status changes, you must notify the Committee's Pudget.
Office immediately Gof the change.

cely OF en _ _
(iP1 am not related to any current (95th Congress) Member of Congress.

{7 1 am related to a current (95th Congress) Member of Congress.
(Please specify. ). 7

Date

e+ a

NW 88326 ee
1d:32239485 Page 11 roe

June 29, 1977

Mr. Isiah C. Mathews
2l Pearl Street
Danbury, Connecticut 06810

Dear Mr. Mathews:

. Mr. Blakey asked that I send you the
enclosed forms te be completed by you prior to
your employment with the Select Committee on
Assassinations. Instructions have been attached
to the forms, and if you have any questions |
please do not hesitate to contact me.

We look forward to meeting you.

‘Very truly yours,

Blizabeth Berning
Administmative Assistant to
G. Robert Blakey

Enclosures

| NW 88326 ote
| Docld:32239485 Page 12 .


Isiah C. Mathews

21 Pearl Street ,
Danbury, Connecticut 06810

Will begin work around end of July or lst of August

$19,500 subject | to. Subsequent judgment

will be\ Special Assistant» to Blakey,

si eb _.
{ purneck p

Please send all forms, etc. needed to begin employment

and obtain security clearance.

| nw sa3z6 I
| Docld:32239485 Page 13

